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Its typically given in the upper arm or gluteal muscle and feels similar to a typical vaccine shot

[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life

Progressive weakness, worsening balance problems, or new neurological symptoms require prompt assessment, as these may indicate inadequate treatment or concurrent conditions

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Temporary blindness may last as long as 2-3 weeks

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